CN109805989A - Application of spring leaf and products thereof - Google Patents
Application of spring leaf and products thereof Download PDFInfo
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- CN109805989A CN109805989A CN201910161612.1A CN201910161612A CN109805989A CN 109805989 A CN109805989 A CN 109805989A CN 201910161612 A CN201910161612 A CN 201910161612A CN 109805989 A CN109805989 A CN 109805989A
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- spring leaf
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Abstract
The invention discloses spring leafs to be applied in the ring cutting operation of organism tubular tissue, belongs to medical apparatus technical field, the spring leaf is specially wound in the periphery of the organism tubular tissue, the cutting chopping block as the tubular tissue；The ring cutting introduced above that makes it possible, without opening up open wound operation in patient abdomen, it only needs to be put into spring leaf by original laparoscope puncture outfit operation aperture, clamp is operated by spring leaf hoop in vagina pipe outer wall, it is carried out from the position that intravaginal corresponds to spring leaf circumferentially cutting, chopping block effect is served as in inner ring face of spring leaf during this, on the one hand, it is different from open resection, it can be so few that leave the surface of a wound to patient as far as possible, on the other hand, there is chopping block, carry out circumferential ring cutting, process settles at one go, efficiency is significantly better than existing manual ultrasound knife aperture shearing.
Description
Technical field
The present invention relates to medical apparatus technical fields, more particularly, to spring leaf in the operation of organism tubular tissue ring cutting
Application and product including the spring leaf.
Background technique
Cervical carcinoma is the most common gynecologic malignant tumor, and carcinoma in situ high incidence age is 30~35 years old, and infiltrating carcinoma is 45~55
Year, in recent years its morbidity have the tendency that rejuvenation, position of being number three in the most common cancer of women；According to clinical stages, patient
Age, fertility requirement, systemic conditions, medical technique level and appointed condition etc., which comprehensively consider, formulates individualized treatment side appropriate
Case uses based on operation and radiotherapy, the comprehensive therapeutic plan supplemented by chemotherapy:
Operative treatment: operation is mainly used for early cervical carcinoma patient；Common art formula has: complete hysterectomy；Secondary son complete extensively
Palace resection and pelvic lymphadenectomy；Radical hysterectomy and pelvic lymphadenectomy；Lymph by abdominal aorta
Excision or sampling；Young patient ovary can normally retain, and to the young patient for retaining reproductive function is required, belong to special early stage
Feasible conization or Radical trachelectomy.
Radiotherapy: 1) middle and advanced stage patient；2) systemic conditions are not suitable for the early stage patient of operation；3) uterine neck bulk lesion
Preoperation radiotherapy；4) discovery of operative treatment pathologic finding has the adjuvant treatment of high risk factor.
Chemotherapy: being mainly used for the patient of advanced stage or relapse and metastasis, in recent years also using operation joint Neoadjuvant chemotherapy (vein
Or Intraarterial Chemotherapy) reduce tumor focus and the subclinical transfer of control, it is also used for radio therapy sensitization.
Wherein, complete hysterectomy occupies larger proportion as most common art formula in clinical treatment；Due to cancer cell
Can implanting, just determine in this that operation will ensure cancer cell indiffusion, not flow out；1) this existing therapy is specifically included that
Open resection: tradition struts abdominal incision by utensil, and manual tool cuts the conjunction of vaginal canal parietal suture, finally by uterus from notch
It removes, the surface of a wound caused by the art formula is larger, is unfavorable for the healing of patient abdomen wound；
2) ultrasound knife probeed into after intravaginal suture by laparoscope puncture outfit hole is gradually sheared from vaginal canal periphery；This kind of art formula
It needs first to be put into uterus raising device to intravaginal, vaginal canal is then bound by uterus raising device by suture suture manually, finally by
Ultrasound knife cuts out osculum from vagina pipe outer wall, is then circumferentially gradually sheared by osculum along vaginal canal, eventually by uterus raising device
Uterus is pulled out from vaginal canal；This mode is performed the operation time-consuming and laborious, though wounds are smaller especially in manual suture beam
During tiing up, it cannot be guaranteed that constraint is reliable, and cutting mode is very long, and efficiency is extremely low.
Summary of the invention
An object of the present invention is to provide new opplication of the spring leaf in the operation of organism tubular tissue ring cutting, the application
It takes the lead in introducing spring leaf in the operation of organism tubular tissue ring cutting and is wound in tubular tissue periphery to be cut as anvil
The concept of plate, makes it possible ring cutting, without opening up open wound operation in patient abdomen, it is only necessary to be worn by original laparoscope
Thorn device operation aperture is put into spring leaf, and spring leaf hoop in vagina pipe outer wall, is corresponded to spring leaf from intravaginal by operation clamp
Position progress is circumferentially cutting, and chopping block effect is served as in inner ring face of spring leaf during this, on the one hand, is different from open cut
, can be so few that leave the surface of a wound to patient as far as possible except art, on the other hand, there is chopping block, carries out circumferential ring cutting, process settles at one go,
Efficiency is significantly better than existing manual ultrasound knife aperture shearing.
In order to solve in the operation of prior art organism tubular tissue ring cutting, modus operandi is lengthy and tedious, the biggish skill of wounds
Art problem, invention introduces the applications of spring leaf, in which: the spring leaf is applied to the ring cutting hand of organism tubular tissue
In art, the spring leaf is wound in the periphery of the organism tubular tissue, the cutting chopping block as tubular tissue.
Further, the application of spring leaf provided by the present application, wherein the organism tubular tissue include vaginal canal,
Enteron aisle pipe or foreskin.
Further, the application of spring leaf provided by the present application, wherein the ring cutting operation is in the organism tubulose
The circumferentially cutting operation that the inner tubal wall of tissue carries out.
Further, the application of spring leaf provided by the present application, wherein further include connection structure, the connection structure is set
It is placed in spring leaf, the winding for realizing the spring leaf is fixed.
Preferably, the application of spring leaf provided by the present application, wherein connection structure is magnetic connecting structure, and the magnetism is even
Binding structure includes being set to the positive connector a of the spring leaf and being set to connector b, the connector a and the institute at the back side
It states at least one in connector b and has magnetism.
Preferably, the application of spring leaf provided by the present application, wherein connection structure is tooth socket connection structure, the connection knot
Structure includes the tooth connection for being set to described spring leaf one end and the link slot for being set to the spring leaf other end.
Preferably, the application of spring leaf provided by the present application, in order to avoid hurting surrounding tissue when being put into spring leaf, and
In the later period as in chopping block cutting process, it is ensured that tissue is cut down, wherein the spring leaf is covered with protective layer；It is cutting through
Guarantee that cutter head can be cut in protective layer, both can ensure that blade penetrated tissue to be cut in this way in journey.
Preferably, the application of spring leaf provided by the present application, wherein the protective layer is rubber layer and/or layer of silica gel.
Preferably, the application of spring leaf provided by the present application, it also is contemplated that want to pass through laparoscope puncture outfit to spring leaf
Inner tube is put into needs spring leaf to have narrow and long design in vivo, meanwhile, after reaching corresponding position, operating space is narrow, can
By slightly applying pressure to spring leaf itself, spring leaf can change oneself state, curly, auto reeling is switched to by strip
In tube wall periphery to be cut, wherein the spring leaf is snap bracelet.
A second object of the present invention is to provide a kind of ring cutting surgical instruments, including circular cutter frame module, cooperate this Shen
Spring leaf please carries out circumferentially cutting from the inner tubal wall of organism tubular tissue.
Application of spring leaf provided by the invention and products thereof and prior art organism tubular tissue ring cutting modus operandi
Compared to having the advantage that the application takes the lead in introducing spring leaf and be wound in the operation of organism tubular tissue ring cutting
Concept of the tubular tissue periphery to be cut as chopping block, makes it possible ring cutting, without opening up open wound in patient abdomen
Operation, it is only necessary to spring leaf is put by original laparoscope puncture outfit operation aperture, operate clamp for spring leaf hoop in outside vaginal canal
Wall, the position progress for corresponding to spring leaf from intravaginal is circumferentially cutting, and chopping block is served as in inner ring face of spring leaf during this
Effect, on the one hand, it is different from open resection, can be so few that leave the surface of a wound to patient as far as possible, on the other hand, there is chopping block,
Circumferential ring cutting is carried out, process settles at one go, and efficiency is significantly better than existing manual ultrasound knife aperture shearing.
Detailed description of the invention
Fig. 1 is chip architecture of the spring schematic diagram of the present invention；
Fig. 2 is spring leaf variable condition structural schematic diagram of the present invention.
Wherein: 1, spring leaf；2, connector a；3, connector b；4, protective layer.
Specific embodiment
Technical solution of the present invention is elaborated with reference to the accompanying drawing；
In Hysterectomy, need in three centimeters of left-right position truncation vaginal canals of uterus arched roof extension, existing therapeutic modality
Be divided into two kinds: 1) patient probes into intravaginal by uterus raising device and measures above-mentioned three centimeters of positions, manually by three centimeters of positions
Vaginal canal suture is tightened in uterus raising device bar, then is punctured by probeing into intraperitoneal ultrasound knife on corresponding vagina outer tube wall from abdomen
One aperture is circumferentially gradually sheared finally by aperture along vaginal canal, and such method requires high and operation extremely to patient
It is time-consuming and laborious；
2) full open model is performed the operation, though excision step is simple, the large area suture of postoperative abdominal and the later period recovery of patient are all
Larger problem.
If in view of be able to achieve from vaginal cavity to vaginal canal carry out it is circumferentially cutting and will cutting be detached from vaginal canal and
Uterus can not only greatly promote procedure efficiency from vagina removal together, but also it is larger to avoid open surgery that abdominal wound
The phenomenon that, substantially reduce patient suffering；And individually above-mentioned work can not be completed well by circumferentially cutting cutter, this
When, we introduce the concept that " spring leaf " in the prior art is used as " chopping block ", and spring leaf 1 is applied to uterus and extracts hand
Strip spring leaf is put into vivo by laparoscope puncture outfit after other separation cutting steps are completed, utilizes utensil by art
It measures above-mentioned three centimeters of positions and spring leaf is wound in the outer tube wall that vaginal canal corresponds to above-mentioned three centimeters of positions, specially
The both ends are passed through connection structure thereon by the both ends for clamping spring leaf 1 respectively by two clamps under laparoscope auxiliary
It is fixedly connected, patient can implement by circumferentially cutting utensil from vaginal canal internal chamber wall circumferentially cutting at this time；Abdomen among these
The wound of hysteroscope is one centimeter long at navel, is then respectively 0.5 centimeter of wound in lower abdomen side, after the completion of operation, wound
It is smaller, repair fast and easy.
This embodiment introduces the applications of spring leaf, and the spring leaf 1 is specially applied to organism tubular tissue
In ring cutting operation, the spring leaf is wound in the periphery of the organism tubular tissue, the cutting chopping block as tubular tissue；Its
In, the organism tubular tissue includes vaginal canal, enteron aisle pipe or foreskin；Ring cutting operation is in the organism tubular tissue
The circumferentially cutting operation that inner tubal wall carries out.
Further, wherein further include connection structure, the connection structure is set to spring leaf 1, for realizing the bullet
The winding of reed 1 is fixed.
Connection structure therein is magnetic connecting structure (not shown), the magnetism as a preferred technical solution,
Connection structure includes being set to the positive connector a2 of the spring leaf and being set to the connector b3, the connector a2 at the back side
Has magnetism at least one in the connector b3.
Alternatively, wherein connection structure is tooth socket connection structure, the connection structure includes being set to described spring leaf one end
Tooth connection and be set to the link slot of the spring leaf other end.
Preferably, in order to avoid hurting surrounding tissue when being put into spring leaf 1, and in the later period as chopping block cutting process
In, it is ensured that tissue is cut down, wherein the spring leaf is covered with protective layer 4；Guarantee that cutter head can cut guarantor in cutting process
In sheath, it both can ensure that blade penetrated tissue to be cut in this way, wherein the protective layer is rubber layer and/or layer of silica gel.
An optimal technical scheme as the application, it is contemplated that spring leaf is wanted to be put by laparoscope puncture outfit inner tube
In vivo, need spring leaf that there is narrow and long design, meanwhile, after reaching corresponding position, operating space is narrow, can be by bullet
Reed itself slightly applies pressure, and spring leaf can change oneself state, is switched to by strip curly, and auto reeling is in be cut
Tube wall periphery, wherein the spring leaf is snap bracelet.
In addition, the application also provides a kind of ring cutting surgical instrument, including circular cutter frame module, expansion compression mechanism and spring
Piece；The tissue between spring leaf and ring cutting knife rest is resisted by the cutter head of circular cutter frame module when operation, carries out rotary cutting
Movement is cut, until vagina tube wall is cut and fallen off.
Embodiment 1
It include spring leaf 1 in the present embodiment, in spring leaf 1 as depicted in figs. 1 and 2 as the preferred embodiment of the application
Side be equipped with connector a2(the present embodiment in be specially barb teeth), be correspondingly provided with connector in the other side of the spring leaf 1
Be specially to open up hole in b3(the present embodiment), this effectively limit spring leaf 1 join domain tangential direction disengaging from
By spending, in addition to this because spring leaf 1 is detached from active force there are also radial at tie point, the present embodiment it is creative general
Spring leaf 1 and the region increase sheet magnetic material for being equipped with barb teeth, when used spring leaf 1 is ferrimagnet, spring leaf 1
And the region of aperture can need not increase magnetism, the opening area of spring leaf 1 can attract with above-mentioned magnetic regions magnetic force to resist
It is radial to be detached from active force, limit radial freedom degree；When used spring leaf 1 is nonferromugnetic material, spring leaf 1 and aperture
Region also increase sheet magnetic material, at this time the mutual magnetic force of the sheet magnetic material on spring leaf 1 attract with resist it is radial be detached from active force,
Limit radial freedom degree.
Application method and principle: by from the ultrasound knife that the nozzle of laparoscope puncture outfit probes into and under the auxiliary of laparoscope
The connection for cutting off uterus and vaginal canal and its hetero-organization, then probes into two clamps, and be put into above-mentioned spring leaf from nozzle and pass through
A piece clamp clamps one end of spring leaf, bypasses vaginal canal, the other end of spring leaf is clamped by another clamp, by spring leaf
It is wound in three centimeters of vagina pipe outer wall, and barb teeth and hole are corresponded into fit on, though this process is related to being linked and packed, due to
Female sheet material is had additional, it, can be under female active force after by the also only that barb teeth and hole is close of clamp operation
It automatically pulls together；Last control ring cutoff knife rack module action again, by vagina tube wall cutoff process.
Embodiment 2
On the basis of embodiment 1, the spring leaf 1 in the present embodiment uses snap bracelet, it is a kind of special spring leaf, because
It has two kinds of stable states after handling by die mould, and one is exceptionally straight states, and also one is rolled states, and two states are only
Low-force, which need to be applied, mutually to be switched, its appearance is since it is considered that narrow in intraperitoneal operating space, to general
Logical spring leaf 1 has inconvenience when winding, and after replacing with snap bracelet, auto reeling is may be implemented in snap bracelet after stress, operation
It is more convenient.
Embodiment 3
On the basis of embodiment 2, it is equipped with barb teeth in the front of snap bracelet, is equipped at the back side of snap bracelet opposite with barb teeth
Therefore the tooth socket answered or aperture (aperture in the present embodiment) have no since snap bracelet has the characteristic independently wound in join domain
The disengaging active force of radial direction can limit the freedom degree of join domain tangential direction by above-mentioned barb teeth, formed and fixed
Connection.
Embodiment 4
On the basis of embodiment 3, in snap bracelet upper layer of silica gel, on the one hand facilitate to protect abdominal cavity inner tissue, another party
Face, when carrying out circumferentially cutting in lumen, it can be ensured that cutter head penetrating tubular tissue can ensure that tubulose group until in layer of silica gel
It knits and is cut completely.
Last institute it is noted that the above specific embodiment is only used to illustrate the technical scheme of the present invention and not to limit it,
Although the invention is described in detail with reference to an embodiment, those skilled in the art, which answer, to be understood, can be to this hair
Bright technical solution is modified and equivalent replacement, without departing from the spirit and scope of the technical solution of the present invention, should all cover
In the scope of the claims of the present invention.
Claims (10)
1. the application of spring leaf, it is characterised in that: the spring leaf is applied in the ring cutting operation of organism tubular tissue, institute
State the periphery that spring leaf is wound in the organism tubular tissue, the cutting chopping block as the tubular tissue.
2. application according to claim 1, it is characterised in that: the organism tubular tissue includes vaginal canal, enteron aisle pipe
Or foreskin.
3. application according to claim 1, it is characterised in that: the ring cutting operation is in the organism tubular tissue
The circumferentially cutting operation that inner tubal wall carries out.
4. application according to claim 1, it is characterised in that: further include connection structure, the connection structure is set to bullet
Reed, the winding for realizing the spring leaf are fixed.
5. application according to claim 4, it is characterised in that: the connection structure is magnetic connecting structure, the magnetism
Connection structure include be set to the positive connector a of the spring leaf and be set to the back side connector b, the connector a and
At least one in the connector b has magnetism.
6. application according to claim 4, it is characterised in that: the connection structure is tooth socket connection structure, the connection
Structure includes the tooth connection for being set to described spring leaf one end and the link slot for being set to the spring leaf other end.
7. application described according to claim 1~any one of 6, it is characterised in that: the spring leaf is covered with protective layer.
8. application according to claim 7, it is characterised in that: the protective layer is rubber layer and/or layer of silica gel.
9. according to claim 1~6, application described in any one of 8, it is characterised in that: the spring leaf is snap bracelet.
10. a kind of ring cutting surgical instrument, it is characterised in that: including spring leaf according to any one of claims 1 to 9, and
Circular cutter frame module.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910161612.1A CN109805989A (en) | 2019-03-04 | 2019-03-04 | Application of spring leaf and products thereof |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910161612.1A CN109805989A (en) | 2019-03-04 | 2019-03-04 | Application of spring leaf and products thereof |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN109805989A true CN109805989A (en) | 2019-05-28 |
Family
ID=66608137
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201910161612.1A Pending CN109805989A (en) | 2019-03-04 | 2019-03-04 | Application of spring leaf and products thereof |
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Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4270540A (en) * | 1980-04-16 | 1981-06-02 | Boris Schwartz | Laminated strip for skin thickness control for use with dermatome apparatus and method of using the same |
| CN2059898U (en) * | 1989-12-09 | 1990-08-01 | 李文水 | Bicycle brush |
| CN102429695A (en) * | 2011-09-08 | 2012-05-02 | 天津博安医用有限公司 | Nickel-titanium alloy anorectal inside anastomoses device |
| US20120277759A1 (en) * | 2008-02-27 | 2012-11-01 | Jianzhong Shang | Disposable apparatus for fitly circumcising a penis |
| CN207253364U (en) * | 2017-03-01 | 2018-04-20 | 史俊萍 | A kind of prepuce circumcision device |
| CN109199542A (en) * | 2018-06-11 | 2019-01-15 | 中国医学科学院北京协和医院 | A kind of prepuce circumcision device |
-
2019
- 2019-03-04 CN CN201910161612.1A patent/CN109805989A/en active Pending
Patent Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4270540A (en) * | 1980-04-16 | 1981-06-02 | Boris Schwartz | Laminated strip for skin thickness control for use with dermatome apparatus and method of using the same |
| CN2059898U (en) * | 1989-12-09 | 1990-08-01 | 李文水 | Bicycle brush |
| US20120277759A1 (en) * | 2008-02-27 | 2012-11-01 | Jianzhong Shang | Disposable apparatus for fitly circumcising a penis |
| CN102429695A (en) * | 2011-09-08 | 2012-05-02 | 天津博安医用有限公司 | Nickel-titanium alloy anorectal inside anastomoses device |
| CN207253364U (en) * | 2017-03-01 | 2018-04-20 | 史俊萍 | A kind of prepuce circumcision device |
| CN109199542A (en) * | 2018-06-11 | 2019-01-15 | 中国医学科学院北京协和医院 | A kind of prepuce circumcision device |
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Application publication date: 20190528 |